Microsoft word - res-675

Residential Substance Abuse and Detoxification Programs
Telephone (808) 579-9584 Fax (808) 579-8902
Dear Physician, Thank you for working with this patient/client as they seek admission to the Aloha House Substance Abuse Treatment. Your role is extremely important for the patient/client to be admitted to Aloha House. We are a medical y monitored detoxification and treatment program. We have nurses on staff and a Medical Director; however, our license does not allow us to have admitting or prescribing physicians on staff. We rely on community physicians to fulfill this role.

There are 6 pages attached and each one is vital to the admission. We have made them as quick and simple as possible for you. Please complete each page; there are also brief instructions on each page. PLEASE FAX ALL COMPLETED FORMS TO ALOHA HOUSE AT (808) 579-8902.